HomeMy WebLinkAbout2303 Research Blvd - Permits - 04/20/1988_.,,y of Fort Collins BUILDING INSPECTION DIVISION
APPLICATION FOR BUILDING PERhUT AND CERTIFICATE OF OCCUPANCY
Applicant complete this part of form only.
Press firmly using ball point pen.
Job Address. j 6 ,;�
Name CVC'/t I �'r ' C
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Mail Address �� n ��
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Phone,
Name C'qz/ /CL /iiC_
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Address . {/ Al z /✓ /
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License No.%l , CJ 7Phone
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Contractor Sales Tax No.
a
Lot
Block
Filing Number
N
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Subdivision
°
PUD
m
Parcel # % ` ._ C
DESCRIPTION OF WORK
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Stock Options
Plan No. _ Codes— _
Est. Total Cost' 7-5 l✓ C
(including labor, material. profit)
I hereby acknowledge that I have read this application and
state that the above is correct and agree to comply with all city
ordinances and state laws regulating building construction17
signed date
— CLASS OF WORK
New Alteration Addition Demolish Move
❑ ❑ ❑ ❑ ❑
Plbg. Mech. Elea Struct. ill, Fire Prot.
❑ ❑ ❑ IS ❑
Occ. Gr.
Type Con t.
Use e
Use of Building ' f.
FloorArea v'
eight
No. Stories "
Lo rea )
Frontage
Occ. load
O tar ge from
Plat File No. `
No. D.U.
Garage area
Fin. Bsmt. area
Type heat
No. Fireplaces or stoves
— RELEASES — Dates
Zoning
Engineering
Fire Department
Electric Department
Water & Sewer
Plan Review
Special Conditions:
Valuation FEES
Plan Check
Permit
? '
Parkland
City Sales Taxr—
St. Oversizing
_Water Plant Investment
Sewer Plant Investment
Storm Drainage
Eleric ctUnderground
-
Total Fees
Distnbubon Original - Applicant'. Blue Otrice. Canary - Sales l ax, Pink - Applicant, Tag - Bldg. Ins'p_
Off -Street Parking
(No. Cars)
Interior Lot
❑
Corner Lot
❑
Reversed Corner Lot
❑
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Street
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ZBA Case N
Date
BBA Case #
Date
Building Insp. Approval
by date
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Permit No.
Date